Provider First Line Business Practice Location Address:
1198 MT. BETHEL HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MT. BETHEL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-588-5000
Provider Business Practice Location Address Fax Number:
610-588-5004
Provider Enumeration Date:
09/11/2006